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Some autoimmune diseases can affect B12 metabolism or produce antibodies that interfere with B12 assays, potentially leading to falsely elevated readings

For example, antibiotics such as gentamicin, the antifungal amphotericin B, corticosteroids including prednisone, antacids, and insulin may reduce magnesium levels in the body when combined

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It is typically administered via injection and used within a structured plan that accounts for lifestyle, nutrition, and overall metabolic health

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Causes of B12 Deficiency Although the requirements of B12 are quite small, it has a complicated absorption process in the digestive tract and, therefore, certain conditions make a B12 deficiency more common